Introduction: Obesity is a global public health problem with negative impact on health. Therefore, effective treatments options are needed. Objective: to evaluate the responses of a supervised functional training program on physical fitness and functional capacity of women with obesity. Methods: a prospective and controlled study was conducted with twenty-four women, BMI >30 and <55 kg/m² and age between 20 and 59 years. The evaluation consisted of anthropometric measurements and physical fitness tests that assessed the cardiorespiratory fitness and functional capacity [6-minute step test (ST6min)], the indirect strength of the lower limbs [sit-to-stand test (STS)] and the flexibility [sit and reach test (SR)]. After the baseline evaluations, the volunteers were allocated in two groups: individualized training group (ITG) (n=13), which consisted of aerobic and strength training, for three months, three times a week, 60 minutes per session; and the control group (CG) (n=11) which did not participate in any regular physical exercise program during the same period. At the third month the two groups were reassessed. Results: it was observed significative reductions in waist circumference, hip and neck measurements; all with p<0.01; and increase in VO2max, in the number of movements of STS and in distance reached in the SR test, all with p<0.01 for the ITG. The ITG showed superiority over CG for all exercise test variables studied. Conclusion: The training program improved the distribution of body fat, cardiorespiratory fitness, muscular strength, flexibility and functional capacity. These are indicatives that the strategy is feasible for women with obesity.

Introdução: O crescente aumento da obesidade severa e as comorbidades associadas a essa condição tornaram-se epidêmicas e atingem todas as idades e grupos econômicos. Além disso, as previsões são de que esse problema se torne ainda mais grave. Portanto, programas de tratamento da obesidade são urgentemente necessários, porém raramente são acessíveis à população de menor renda. Objetivo: Analisar os efeitos de um programa multiprofissional de tratamento da obesidade (PMTO) em adultos com obesidade severa (IMC > 40 kg/m2). Método: Participaram do estudo 13 pessoas (seis mulheres e sete homens) com média de idade de 41,2±7 anos e IMC médio de 48,3Kg/m2. Foram realizadas avaliações antropométricas, clínicas, laboratoriais, e de aptidão física, seguindo procedimentos padronizados, pré-intervenção e após 24 semanas de um PMTO. Resultados: O IMC, o percentual de (%Gord.), gordura corporal absoluta, flexibilidade, força de preensão manual, força/resistência abdominal apresentaram melhoras significativas (p<0,05). Conclusão: O PMTO em adultos com obesidade severa mostrou-se efetivo na melhoria de vários parâmetros relacionados à saúde e de aptidão física, portanto, promissor para que mais estudos avaliem a sua aplicabilidade, incluindo intervenções no contexto da atenção primária à saúde (SUS).

Objectives: to analyze the effects of a multiprofessional remote intervention and telenursing in the treatment of obesity. Methods: pragmatic clinical trial of intervention, conducted with obese adults. The multiprofessional remote intervention with a nurse occurred for 16 weeks through a messaging application. The application analyzed body composition, hemodynamic and laboratory variables, comparing the results obtained with the group that participated in face-to-face multiprofessional intervention without a nurse. The study investigated the effects of the intervention comparing the intervention groups and the moments through the ANOVA test for repeated measures. Results: Group 1 obtained significance in the variables: percentage of body fat (p = 0.008); blood glucose (p = 0.014); insulin (p = 0.001); abdominal and waist circumference; and HDL cholesterol (p = 0.000). Conclusions: the effects of multiprofessional remote intervention and telenursing significantly decreased the risk variables for metabolic syndrome in the treatment of obesity.

Objective: the aim of this study is to explore the nutritional status in adults according to usual and non-usual components of body composition. Methods: this is a descriptive study involving a sample of 274 Brazilians adults from the south of the country. The participants had their body composition assessed by an octapolar bioimpedanciometer (InBody 520 - Biospace) and the anthropometric parameters according to the WHO standard. The data was analyzed by the descriptive and inferential statistic with the software SPSS version 22.0. Results: The participants were grouped by nutritional status and sex. There were statistical differences between the groups (both nutritional status and sex) in all the variables, except age and stature. The correlation among the variables were also significant, except for the Lean Body Mass and Body Fat Percentage (LBM vs BFP) and for the Lean-to-Fat-Ratio and Lean Body Mass (LFR vs LBM). Final considerations: The results has shown that the usual and the non-usual parameters of body composition are related (most of them) and were more strongly related in the female group.

– This paper is an update of the systematic review on Active Play published in 2018 by Mendes et al. This systematic review included studies published between 2018 and 2019. The search for potential articles was performed on the following electronic databases: Pubmed/Medline, Web of Science, Bireme, Scielo and Scopus. Initially, 471 papers met the eligibility criteria. However, after deeply analyzed, only two studies remained and were included in the present review. From these articles only one presented individual information on play activity among adolescents age (12-17 years) from Curitiba-PR and it reveals that 77,2% of them were physically active in their free time. The other study included was about the preferences for leisure activities among adolescents from Florianopolis-SC participants in two cross sectional studies in 2001 and 2011. It showed a significant reduction in the preferences for practicing physical activities, while the opposite occurs with sedentary activities like watching TV, playing video games, and using computers. These results along with the inconsistencies in benchmarks of the domain active play among countries involved in the Global Matrix 3.0 made clear the necessity of a standard definition and a proper tool to measure it.